Fee-For-Service Contracts Administrator (Operations & Policy Analyst 3)

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If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.

Medicaid Policy & Fee-For-Service (FFS) Operations section is responsible for developing and maintaining Medicaid policies that codify and clarify benefit design, delivery, and access to Oregon Health Plan (OHP) services. The section maintains Fee-for-Service (FFS) operations and the Open Card system for over 95,000 OHP members. The Medicaid Fee-for-Service Quality Assurance and Operations unit oversees rate standardization, access and quality for the Open Card healthcare system, managing care coordination contracts, and overseeing quality assurance strategies. The team is comprised of analysts who administer service delivery contracts, maintain a provider network, establish and maintain all FFS rates and Rate schedules, create and update Oregon Administrative Rules (OAR’s), and implement policy related to services paid directly by the state, assuring they align with federal and state requirements.

The primary purpose of this position is to serve as one of three Fee-for-Service (FFS) Contract Administrators supporting the OHA’s Oregon Health Plan (OHP) FFS Open Card delivery system. In this role, the position provides oversight, evaluation, and strategic direction for two contracted service areas: (1) Network Provider Development and Management for the FFS Open Card provider network, and (2) a Statewide Member Communications and Marketing program that informs members and supports provider engagement.

·         Resume – Attach your current resume that clearly outlines your education and work experience relevant to this position.

·         Supplemental Questions – Answer all supplemental questions completely and accurately.

·         Final Check! – Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used to complete an Equal Pay Analysis to determine salary placement upon hire. Visit the Equal Pay Analysis Webpage for more information.

How to Apply:

·         External Candidates:  Visit the State of Oregon job opportunities webpage or click the “Apply” tab above to submit your application, following all submission requirements.

·         Internal Candidates: Current State of Oregon employees must apply through their employee Workday login, following all submission requirements.

• Complete any pending tasks in Workday under “My Applications” prior to the application deadline.
• Check your email (including junk folder) and Workday inbox regularly for updates on your application.

• Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. To protect your information and ensure correct processing, please follow the instructions for submitting your Veterans’ Preference documentation.
• Please download and save a copy of this job announcement and linked position description, as it is not available after the application deadline.

About the Team & Benefits of Joining

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.

If you're driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you. We also offer a competitive benefits package including:

·         Excellent, low-cost medical, vision, and dental coverage for you and your family.

·         Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.

·         Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.

·         Potential eligibility for the Public Service Loan Forgiveness Program.

·         Retirement security through Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).

·         Training and development opportunities to grow your career with the State of Oregon.

• This announcement is for one, full-time, permanent, SEIU represented, Fee-For-Service Contracts Administrator (Operations & Policy Analyst 3) position based in Salem, Oregon.
• This is a hybrid (15% in-office) position. “Review Section 4: Working Conditions” in the position description (linked above) for more information.
• Employment is contingent upon a criminal records check and a driving records check that meets OHA criteria at the time of hire and throughout employment.
• The salary listed is the non-PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see the Classification and Compensation page.
• The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.
• This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I-9 documentation and confirm authorization to work in the United States. OHA will use E-Verify to verify work authorization. If your employment eligibility depends on sponsorship now or in the future, you will not meet the requirements for this position.
• We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.

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The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees. We do not discriminate based on protected class – including race, sex, veteran status, disability, age, color, religion, national origin, marital status, or sexual orientation – and does not screen applicants based on current or past compensation. Salary is determined through a fair review of your education, experience, and training as it relates to the position.

OHA is an anti-racist organization working to eliminate health inequities and dismantle structural barriers that impact underserved communities. Join us in advancing our Strategic Plan and building a more equitable Oregon.